+1(514) 937-9445 or Toll-free (Canada & US) +1 (888) 947-9445
Yes - Medical expired after 12 Months - Hopefully IRCC will make a request for a fresh Medical Examination

IRCC tries their best to wait until within 1 year of approval so that parents don’t keep on having to repeat and pay for medical request especially when processing can be multiple years. Not having a new valid medical will not stop processing.
 
Same for me application was submitted on Friday Aug 2 2024,
Biometrics done was done 2025 but no update after that
We submitted Application Aug 1st. We received prearrival letter on June 24 , 2026. No medica so far.
What is pre arrival letter for? Showing any milestone in application?